Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,318.26 / $13,803.84	Facility		$363.08	$1,318.26	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $537.03 / $1,288.25	Professional		$181.97	$537.03	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $562.34 / $1,698.24	Professional		$281.84	$562.34	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $1,445.44	Professional		$295.12	$457.09	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $794.33 / $1,949.84	Facility		$245.47	$794.33	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $870.96 / $1,548.82	Professional		$275.42	$870.96	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,202.26	Facility		$812.83	$1,122.02	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $676.08 / $1,412.54	Facility		$223.87	$676.08	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $457.09 / $1,548.82	Professional		$79.43	$457.09	$1,548.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $1,513.56	Professional		$338.84	$602.56	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $741.31 / $1,584.89	Professional		$281.84	$741.31	$1,584.89